| NPI | 1598913832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7799) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TH0004X Psychologist, Health | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2009-11-10 |