| NPI | 1396072385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7994) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7994) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2016-11-10 |