| NPI | 1669492187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY4494) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4494) |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY4494) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY4494) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |