| NPI | 1932306354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PR 2716) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PR 2716) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |