| NPI | 1790207967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 03554) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |