| NPI | 1720194640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY7230) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY7230) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-05-16 |