| NPI | 1629279005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY00003918) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 00003918) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-03-11 |