| NPI | 1275752453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4049) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-01-18 |