| NPI | 1144312273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810000174) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001568) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-01-23 |