| NPI | 1417043753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC PSY1000342) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: DC PSY1000342) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1000342) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-11-21 |