| NPI | 1942772660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60907943) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OR 2962) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2025-07-18 |