| NPI | 1861740854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000788) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DC PSY1000788) |
| 103TH0004X Psychologist, Health (Licence: DC PSY1000788) | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2014-02-14 |