| NPI | 1073117198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC 1001484) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 080003661) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |