| NPI | 1497035612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 63) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 4159) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2018-03-26 |