| NPI | 1528224094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 3984) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003972) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2011-01-21 |