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 |