| NPI | 1992061568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY 60297286) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VT 048.0082855) |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2012-08-08 |