| NPI | 1508054040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY4915) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY4915) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY4915) | |
| 103TH0100X Psychologist, Health Service (Licence: FL PY4915) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-03-31 |