| NPI | 1134800121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY11943) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY11943) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-08-09 |