| 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 |