| NPI | 1548676554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05543) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY 60437152) |
| 103G00000X Clinical Neuropsychologist (Licence: MD 05543) | |
| 103T00000X Psychologist (Licence: MD 05543) | |
| 103T00000X Psychologist (Licence: WA PY 60437152) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-06-10 |