| NPI | 1811079494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 1258) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 1258) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |