| NPI | 1831223577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 1323) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 1323) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AZ 1323) | |
| 103TR0400X Psychologist Rehabilitation (Licence: AZ 1323) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-06-18 |