| NPI | 1558360719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 1272) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1272) |
| 103TC0700X Psychologist Clinical (Licence: AL 1272) | |
| 103TR0400X Psychologist Rehabilitation (Licence: AL 1272) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-08-09 |