| NPI | 1093349888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MO 2020010171) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AR 19-11P) |
| 103TC0700X Psychologist Clinical (Licence: AR 19-11P) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2024-05-16 |