NPI | 1063939759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61073285) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31627) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2020-10-13 |