| NPI | 1417158288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VT 048-0134257) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 8520) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: VT 048-0134257) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-10-11 |