NPI | 1437791613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60979651) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103G00000X Clinical Neuropsychologist | |
Enumeration Date | 2019-10-09 |
Last Update Date | 2020-10-18 |