| NPI | 1972989846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4487) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 4487) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2016-10-19 |