| NPI | 1316922537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: P 657) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: GA PSY001957) |
| 103G00000X Clinical Neuropsychologist (Licence: TN P657) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-01-08 |