| NPI | 1598981219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 406) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 406) |
| 103TR0400X Psychologist, Rehabilitation (Licence: OR 406) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-09 |