| NPI | 1902899131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00001024) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA 1024) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2019-09-09 |