| NPI | 1255650800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 2052) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2052) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2023-11-05 |