| NPI | 1093088312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 099385) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NV PY0863) |
| 103G00000X Clinical Neuropsychologist (Licence: AZ 4383) | |
| 103TC0700X Psychologist, Clinical (Licence: NV PY0863) | |
| 103TC0700X Psychologist, Clinical (Licence: AZ 4383) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2021-05-03 |