| NPI | 1003944760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE b1-0000440) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE b1-0000440) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2017-03-08 |