| NPI | 1093429730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 279706) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 279706) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-02-07 |