| NPI | 1699002089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 3855) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: SC 1136) |
| 103G00000X Clinical Neuropsychologist (Licence: NC 3855) | |
| 103TC0700X Psychologist Clinical (Licence: SC 1136) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2020-08-17 |