| NPI | 1215049424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4827) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 4453) |
| 103G00000X Clinical Neuropsychologist (Licence: TX 34545) | |
| 103G00000X Clinical Neuropsychologist (Licence: NC 4827) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-02-09 |