| NPI | 1790772093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSy408) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: HI PSY 408) |
| Enumeration Date | 2005-10-02 |
| Last Update Date | 2007-12-04 |