| NPI | 1043106206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS020623) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301019441) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS020623) | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-11-19 |