| NPI | 1598823809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 51 889) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003049) |
| 103G00000X Clinical Neuropsychologist (Licence: GA PSY003049) | |
| 103T00000X Psychologist (Licence: GA PSY003049) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: GA PSY003049) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-06-01 |