| NPI | 1841507894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 11-05P) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AL 1573) |
| 103TC0700X Psychologist Clinical (Licence: AL 1573) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2014-09-23 |