| NPI | 1467477554 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20042873A) | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY002929) | 
| 103T00000X Psychologist (Licence: IN 20042873A) | |
| Enumeration Date | 2006-07-12 | 
| Last Update Date | 2015-10-14 |