| NPI | 1003265786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005404) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP5910) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-11-12 |