| NPI | 1235238189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 476) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NE 476) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-08-31 |