| NPI | 1215056460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 21904) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 016257) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-08-03 |