| NPI | 1821236449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP6019) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6019) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2017-11-13 |