| NPI | 1235825076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 34287) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 025600) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-10-19 |