| NPI | 1033443122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 3383-57) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 764-226) |
| 103T00000X Psychologist (Licence: WI 3383) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2021-12-03 |