| NPI | 1700967668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004363) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7092) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-07-19 |