| NPI | 1992845499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: GA PSY002520) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY002520) |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY16357) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY002520) | |
| 103TC0700X Psychologist Clinical (Licence: CA PSY16357) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY16357) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-09-09 |