| NPI | 1427061209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KS 2326) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 962) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-03-02 |