| NPI | 1093268864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12329) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 7453) |
| 103G00000X Clinical Neuropsychologist (Licence: GA PSY004357) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-09-17 |