| NPI | 1265483515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ND 151) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SD 481) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-12-19 |