| NPI | 1295770758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MD 5531) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 2670) |
| 103T00000X Psychologist (Licence: MD 5331) | |
| 103T00000X Psychologist (Licence: CO 2670) | |
| 103TF0200X Psychologist, Forensic (Licence: CO 2670) | |
| 103TH0100X Psychologist, Health Service (Licence: CO 2670) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CO 2670) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-07-21 |