| NPI | 1942417845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 946) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 946) |
| 103TF0200X Psychologist, Forensic (Licence: OR 946) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |