| NPI | 1316901077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 3370) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TN 1495) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2013-11-22 |