| NPI | 1013193010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1453) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AL 1453) |
| 103G00000X Clinical Neuropsychologist (Licence: AL 1453) | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2013-09-05 |