| NPI | 1063797686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MT 2977) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY1285) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2020-03-27 |