| NPI | 1609100650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4606) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 4606) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2020-10-26 |