| NPI | 1366557878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 3229) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 010028-1) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-01-04 |