| NPI | 1982634069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: WA PY00003516) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY00003516) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-01-10 |