| NPI | 1073704011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 0004030) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 4030) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2019-09-10 |