| NPI | 1609923721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1265) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 10251) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-09 |