| NPI | 1699968453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 45 740) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MS 45 740) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2014-06-24 |