| NPI | 1669896809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 1856) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1856) |
| 103TC0700X Psychologist, Clinical (Licence: AL 1856) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |