| NPI | 1326244229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6066) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6066) |
| 103TC0700X Psychologist Clinical (Licence: OH 6066) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |