| NPI | 1316111826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MA 8835) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 8835) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-03-09 |