| NPI | 1144437989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY 0002381) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 2381) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-02-19 |