| NPI | 1124049556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 3428) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 3574) |
| 103TC0700X Psychologist, Clinical (Licence: WA 60009283) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-04-27 |