| NPI | 1821245713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NH 1167) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VT 048-0000922) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |