| NPI | 1396962692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 4982) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL Py 4982) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL Py 4982) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL Py 4982) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-04-07 |