| NPI | 1457337925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 22999) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 2623) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2010-06-02 |