| NPI | 1467465856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 331) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NH 331) |
| 103G00000X Clinical Neuropsychologist (Licence: MA 2356) | |
| 103TC0700X Psychologist Clinical (Licence: MA 2356) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-10-28 |