| NPI | 1962787655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: WA PY60249064) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 60249064) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2018-05-23 |