| NPI | 1598832255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 3447) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY19276) |
| 103T00000X Psychologist (Licence: UT 62661702501) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-06-16 |