| NPI | 1841390200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 8624) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8624) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-05-20 |