| NPI | 1912208000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |