| NPI | 1235339151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 129920) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KY 2012-52) |
| 103G00000X Clinical Neuropsychologist (Licence: TN 3366) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2018-04-03 |