| NPI | 1992757520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NH 810) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 810) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NH 810) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: NH 810) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-11-03 |