| NPI | 1477629723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 0881) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NM 0881) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-04-08 |