| NPI | 1821107087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KS 2740) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY00002967) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-12-03 |