| NPI | 1215305263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ID PSY-202894) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202894) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-01-19 |