| NPI | 1417249483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KS 2035) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2035) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2012-05-17 |