| NPI | 1962855593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY70007846) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 4290) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2025-07-08 |