| NPI | 1154707594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004295) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS01496) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2015-11-30 |