| NPI | 1821003351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 1143) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810003288) |
| 103G00000X Clinical Neuropsychologist (Licence: IA 001039) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-03-22 |