| NPI | 1780809020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MT PSY-PSY-LIC-1734) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT PSY-PSY-LIC-1734) |
| 103T00000X Psychologist (Licence: MT PSY-PSY-LIC-1734) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-06-10 |