| NPI | 1174690085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 001615) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 7964) |
| 103TC0700X Psychologist, Clinical (Licence: MA 7964) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 001615) | |
| 103TH0100X Psychologist, Health Service (Licence: MA 7964) | |
| 103TH0100X Psychologist, Health Service (Licence: CT 001615) | |
| 103T00000X Psychologist (Licence: MA 7964) | |
| 103T00000X Psychologist (Licence: CT 001615) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |