| NPI | 1164917449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0005925) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-11-02 |