| NPI | 1437239308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN 4594) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 4594) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-03-12 |