| NPI | 1952472144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 002251) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 002251) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2014-05-14 |