| NPI | 1104151471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 1224) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: IA 1224) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2016-02-11 |