| NPI | 1093273997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY0005243) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 10964) |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2021-01-27 |