| NPI | 1154321925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3730) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 2901) |
| 103G00000X Clinical Neuropsychologist (Licence: AZ 3730) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2024-05-01 |