| NPI | 1689860611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI 01374) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI 01374) |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2020-04-21 |