| NPI | 1760604631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60263831) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 1759) |
| 103TC0700X Psychologist, Clinical (Licence: OR 1759) | |
| 103TH0004X Psychologist, Health (Licence: OR 1759) | |
| 103G00000X Clinical Neuropsychologist (Licence: CA psy15516) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-11-28 |