| NPI | 1154376994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7083) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY7083) |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY7083) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY 7083) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-01-27 |