| 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 |