| NPI | 1952421299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004282) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY003240) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2010-09-09 |