| NPI | 1689069502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: WA PY60307202) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY60307202) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-12-31 |