| NPI | 1255331237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY0004903) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4903) |
| Enumeration Date | 2005-07-30 |
| Last Update Date | 2008-06-19 |