| NPI | 1932338951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 2941) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 002942) |
| 103G00000X Clinical Neuropsychologist (Licence: RI PS01157) | |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2019-05-07 |