| NPI | 1417914904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002416) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002416) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-08-05 |