| NPI | 1235683335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004030) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: GA PSY004030) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-04-06 |