| NPI | 1063862639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004125) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 3375-057) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-08-04 |