| NPI | 1144709288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 1392) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP6117) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |