| NPI | 1467804393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY60327555) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WA 494216E) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2022-09-20 |