| NPI | 1245534429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4275) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 3342581) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2016-01-06 |