| NPI | 1174057749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 093326) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP6861) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2022-11-03 |