| NPI | 1043270200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 76-23P) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AR 76-23P) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-09 |