| NPI | 1255185674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY12135) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 40302) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-08-21 |