| NPI | 1730131707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 5508) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NH 725) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-10-27 |