| NPI | 1649465170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004892) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003340) |
| 103TC0700X Psychologist, Clinical (Licence: CO 0004892) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2024-01-17 |