| NPI | 1962926485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA AP60098621) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3182) |
| 103TC0700X Psychologist, Clinical (Licence: OR 3182) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2024-01-19 |