| NPI | 1821021882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002613) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY002613) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-07-20 |