| NPI | 1790068948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PR 1816) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: PR 1816) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |