| NPI | 1164871919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3335) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3335) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2021-09-09 |