| NPI | 1831173384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1066) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO 1066) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-09-22 |