| NPI | 1366591299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 3876) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 3876) |
| 103T00000X Psychologist (Licence: MA 3876) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-04-13 |