| NPI | 1922172667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY2939) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY2939) |
| 103TR0400X Psychologist, Rehabilitation | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY00002939) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: WA PY00002939) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-01-04 |