| NPI | 1376019927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY005022) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: HI 1759) |
| 103T00000X Psychologist (Licence: HI psy1759) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-04-11 |