| NPI | 1932194685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 3953-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 00376) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2021-05-19 |