| NPI | 1457371312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 1085) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 627) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |