| NPI | 1386855039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 1885) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 3405) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-04-16 |