| NPI | 1922032457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 7905) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7905) |
| 103TC0700X Psychologist Clinical (Licence: MA 7905) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-03-15 |