| NPI | 1174862882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8696) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 8696) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2017-03-13 |