NPI | 1831297233 |
---|---|
Former Name | LAURA KAY WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA 1872) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 1872) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2016-12-27 |