| NPI | 1841396140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3358) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 7470) |
| 103G00000X Clinical Neuropsychologist (Licence: ME PS1065) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-03-06 |