NPI | 1063841641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: WA PY60155493) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60155493) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2017-06-20 |