| NPI | 1386946911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WV 91411) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP5517) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2015-07-07 |