| NPI | 1588163208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY60805166) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA PY60805166) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |