| NPI | 1093754509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003853) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810001978) |
| 103G00000X Clinical Neuropsychologist (Licence: GA PSY003853) | |
| 103T00000X Psychologist (Licence: VA 0810001978) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-07-25 |