| NPI | 1235278896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY001865) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY001865) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-01-18 |