| NPI | 1528097383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS00520) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 836) |
| 103T00000X Psychologist (Licence: MA 6713) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-06-21 |