| NPI | 1417025719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8169) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8169) |
| 103G00000X Clinical Neuropsychologist (Licence: DC PSY1000616) | |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1000616) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-12-08 |