| NPI | 1235787086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC0700X Psychologist, Clinical (Licence: ID PSY-203216) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |