| NPI | 1023272341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY003424) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003424) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-04-06 |