| NPI | 1104307925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL 10232) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: FL PY10232) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-10-19 |