| NPI | 1922333863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY60288916) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 4029) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2022-06-20 |