| NPI | 1487645511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 4990) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 4990) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |