| NPI | 1891118808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006149) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AR 14-04P) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2020-06-22 |