| NPI | 1013176882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1078) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3561) |
| 103T00000X Psychologist (Licence: SC 1078) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |