| NPI | 1093884686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043014A) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA Psy9963) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY9963) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-03-06 |