| NPI | 1093871709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PR 2764) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2764) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-02-03 |