| NPI | 1225651375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 11981) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11981) |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2024-03-19 |