| NPI | 1912072398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9263) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003009) |
| 103T00000X Psychologist (Licence: CT 003009) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-01-28 |