| NPI | 1083000798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1567) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist (Licence: RI PS01513) | |
| 103TC0700X Psychologist, Clinical (Licence: SC 1567) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-11-25 |