| NPI | 1619000882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO CO1793) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 1793) |
| 103T00000X Psychologist (Licence: CO 1793) | |
| 103G00000X Clinical Neuropsychologist (Licence: CO CO1793) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-09-21 |