| NPI | 1689750754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 2785) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: NC 2785) |
| 103T00000X Psychologist (Licence: NC 2785) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-06-17 |