| NPI | 1992917579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 982) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OK 982) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-04-15 |