| NPI | 1205594934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TR0400X Psychologist, Rehabilitation | |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |