| NPI | 1225253073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00007678) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2014-01-17 |