| NPI | 1518112424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3613) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 3613) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3613) | |
| 103TH0004X Psychologist, Health (Licence: NC 3613) | |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2009-04-07 |