| NPI | 1780638619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20041993) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041993) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-07-01 |