| NPI | 1245487784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MT PSY-PSY-LIC-401) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MT 401) |
| 103G00000X Clinical Neuropsychologist (Licence: MI 6301013364) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2015-04-10 |