| NPI | 1174686356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1251) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: SC 1251) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-02-28 |