| NPI | 1487933586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 3626) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 9379) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2018-08-29 |