| NPI | 1922059096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO PSY00004047) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KY 1329) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2015-09-22 |