| NPI | 1972585305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60153088) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY16293) |
| 103G00000X Clinical Neuropsychologist (Licence: WA PY60153088) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-03-14 |