| NPI | 1952787194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CO PSY.0004191) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004191) |
| 103T00000X Psychologist (Licence: CO PSY.0004191) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |