| NPI | 1144504465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 3165) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5259) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2025-11-11 |