| NPI | 1740392919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 07-30P) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY002764) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-03-11 |