| NPI | 1003268061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3374) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 3374-57) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2024-08-02 |