| NPI | 1649311432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001121) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00805) |
| 103G00000X Clinical Neuropsychologist (Licence: RI PS00805) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-03-17 |