| NPI | 1013161272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 5685) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 5685) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-01-10 |