| NPI | 1861430803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AK 606) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 1484-57) |
| 103TC0700X Psychologist Clinical (Licence: WI 1484-57) | |
| 103TC0700X Psychologist Clinical (Licence: AK 606) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-05-14 |