| NPI | 1598124638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810004025) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004025) |
| 103TH0004X Psychologist, Health (Licence: VA 0810004025) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: VA 0810004025) | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |