| NPI | 1649414228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 3900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042125A) |
| 103T00000X Psychologist (Licence: CA Psy19200) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2019-08-23 |