| NPI | 1063749570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013674) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301013674) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2019-05-30 |