| NPI | 1205917788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 831) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AL AL831) |
| 103TC0700X Psychologist, Clinical (Licence: AL AL831) | |
| 103TC0700X Psychologist, Clinical (Licence: AL 831) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-05-21 |