| NPI | 1013454842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2976) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA 60690421) |
| 103TC0700X Psychologist, Clinical (Licence: WA 60690421) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2019-04-09 |