| NPI | 1609956242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1998) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 1998) |
| 103T00000X Psychologist | |
| 103TR0400X Psychologist, Rehabilitation (Licence: WI 1998) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-11-14 |