| NPI | 1720260805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS00999) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 8791) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2010-05-28 |