| NPI | 1164628780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7356) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY 7356) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY 7356) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY 7356) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-02-28 |