| NPI | 1760573422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5025) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY5025) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-10-12 |