| NPI | 1679533277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 7837) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7837) |
| 103TC0700X Psychologist Clinical (Licence: MA 7837) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-09 |