| NPI | 1295914356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 3636) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 3636) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2011-09-28 |