| NPI | 1740586684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 0966) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IN 20041025A) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-05-25 |