| NPI | 1275548133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 642) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 642) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-02-23 |