| NPI | 1225114481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00003517) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY00003517) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-08-15 |