| NPI | 1922218007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0003438) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO 3438) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-09-10 |