| NPI | 1851478382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6666) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 1613) |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY6666) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-07-08 |