| NPI | 1053595322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI 1055) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: RI 1055) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2008-03-06 |