| NPI | 1033666359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NH 1390) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ME PS1496) |
| 103G00000X Clinical Neuropsychologist (Licence: ME 1496) | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2022-04-06 |