| NPI | 1164489290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 88-5p) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: AR 88-5p) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-16 |