| NPI | 1821201930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 2368-057) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: WI 2368-057) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |