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 |