| NPI | 1780751875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 2975) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 2975) |
| 103T00000X Psychologist (Licence: RI PS00844) | |
| 103G00000X Clinical Neuropsychologist (Licence: RI PS00844) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-05-09 |