| NPI | 1174793319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 787) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |