| NPI | 1295876761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY5242) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY5242) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |