| NPI | 1043446487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VT 0480000629) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 0480000629) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-09-10 |