| NPI | 1043663982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10177) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL 10177) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: FL 10177) | |
| 103TC0700X Psychologist, Clinical (Licence: FL 10177) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2024-01-23 |