| NPI | 1417044207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8626) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 8626) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-04-17 |