| NPI | 1154547164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 5603) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY5603) |
| 103TC0700X Psychologist Clinical (Licence: FL PY 5603) | |
| 103TH0100X Psychologist Health Service (Licence: FL PY 5603) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: FL PY 5603) | |
| 103TR0400X Psychologist Rehabilitation (Licence: FL PY 5603) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-06-02 |