| NPI | 1417244138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PR 3903) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PR 3903) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2024-10-04 |