| NPI | 1144480344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004499) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3460) |
| 103TC0700X Psychologist Clinical (Licence: CO PSY.0004499) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2021-09-10 |