| NPI | 1215028980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 2379-057) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY2465) |
| 103TC0700X Psychologist, Clinical (Licence: WI 2379-057) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY2465) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-01-04 |