| NPI | 1164935649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1629) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: LA 1629) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-04-26 |