| NPI | 1578669362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SD 576) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 8080) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-04-26 |