| NPI | 1174662381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60226299) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY60226299) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-07-22 |