| NPI | 1841459195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY00003593) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA PY00003593) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2010-10-27 |