| NPI | 1386658037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6766) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY6766) |
| 103G00000X Clinical Neuropsychologist (Licence: AR 0710P) | |
| 103TC0700X Psychologist, Clinical (Licence: AR 07-10P) | |
| 103TF0200X Psychologist, Forensic (Licence: FL PY6766) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-07-21 |