| NPI | 1396018990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2849-57) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2849-57) |
| 103T00000X Psychologist (Licence: WI 2849-057) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2021-09-01 |