| NPI | 1083236095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301018405) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018405) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301018405) | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-08-11 |