| NPI | 1134172505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL py4145) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-09-05 |