| NPI | 1356441018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 28735) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3113-57) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2013-08-22 |