| NPI | 1033945282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 5242) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5242) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-01-28 |