| NPI | 1043296890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN P3259) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS00712) |
| 103TC0700X Psychologist, Clinical (Licence: RI PS00712) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-03-16 |