| NPI | 1063502532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 06-03P) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 06-03P) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: AR 06-03P) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-01-08 |