| NPI | 1154490407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 119006) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003184) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-11-16 |