NPI | 1831195486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00002840) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY00002840) |
103TA0700X Psychologist Adult Development & Aging (Licence: WA PY00002840) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA PY00002840) | |
103TS0200X Psychologist School (Licence: WA EDUCATION SVC CERT.) | |
Enumeration Date | 2005-06-27 |
Last Update Date | 2012-10-08 |