| NPI | 1073745899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NH 1294) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 4343) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2013-10-02 |