| NPI | 1144626631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004950) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004950) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2015-01-26 |