| NPI | 1811246168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 0004379) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2020-06-03 |