| NPI | 1427257377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5452) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OK 1163) |
| 103G00000X Clinical Neuropsychologist (Licence: OK 1163) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2022-04-28 |