| NPI | 1174772230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7449) |
| 103G00000X Clinical Neuropsychologist (Licence: NC PPY 3512) | |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2023-06-16 |