| NPI | 1912145640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: LA 1148) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1148) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 1148) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2017-02-11 |