| NPI | 1396055307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2889) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2889-057) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2018-11-30 |