| NPI | 1508145731 |
|---|---|
| Former Name | ALICIA FAITH PLASTERER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA 60324091) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60324091) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60324091) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2019-01-07 |