| NPI | 1235532300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC PSY1001066) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 05319) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2015-09-03 |