| NPI | 1235860867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06999) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 06999) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-01-05 |