| NPI | 1205381977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9639) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY9639) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-08-23 |