| NPI | 1043548779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9055) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2021-06-01 |