| NPI | 1821307885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 9249) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS01185) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2019-08-23 |