| NPI | 1073588505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 1212) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 1212) |
| 103TC0700X Psychologist, Clinical (Licence: CT 1212) | |
| 103TF0200X Psychologist, Forensic (Licence: CT 1212) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-23 |