| NPI | 1194157313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 003945) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-07-21 |