| NPI | 1407161557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 9502) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS016874) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2012-07-03 |