| NPI | 1306965769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 939) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist (Licence: NE 939) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-10-11 |