| NPI | 1649694662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY60885078) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 36685) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: WA PY60885078) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 36685) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY60885078) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 36685) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60885078) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2021-11-18 |