| NPI | 1578812921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 2911) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DC 1632) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |