| NPI | 1285787275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY000963) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist Adult Development & Aging (Licence: GA PSY000963) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY000963) | |
| 103TH0100X Psychologist Health Service | |
| 103T00000X Psychologist (Licence: GA PSY000963) | |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2007-07-08 |