| NPI | 1003226150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 004746) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-12-27 |