| NPI | 1720451214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 3832) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 3832) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |