| NPI | 1578602827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 1386) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY003214) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-11-19 |