NPI | 1568625895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: WA PY60014648) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY60014648) |
103TC0700X Psychologist, Clinical (Licence: WA PY60014648) | |
Enumeration Date | 2008-07-07 |
Last Update Date | 2024-06-05 |