| NPI | 1750371191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 608) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 608) |
| 103TC0700X Psychologist Clinical (Licence: OR 608) | |
| 103TH0100X Psychologist Health Service (Licence: OR 608) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OR 608) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2014-12-12 |