| 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 |