| NPI | 1144570946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005153) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810005153) |
| 103TR0400X Psychologist, Rehabilitation (Licence: VA 0810005153) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2015-12-09 |