| NPI | 1184892952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301016552) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2021-02-17 |