| NPI | 1235423104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301014211) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MI 6301014211) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-08-28 |