| NPI | 1710090568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 227) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 227) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |