| NPI | 1992099618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: WA 504718H) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2014-04-23 |