NPI | 1053457333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY0000035) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY0000035) |
103TF0000X Psychologist, Family (Licence: WA PY00000535) | |
103TH0100X Psychologist, Health Service (Licence: WA PY00000535) | |
103TS0200X Psychologist, School (Licence: WA PY00000535) | |
103T00000X Psychologist (Licence: WA PY00000535) | |
103TC0700X Psychologist, Clinical (Licence: WA PY00000535) | |
103TF0200X Psychologist, Forensic (Licence: WA PY00000535) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |