| NPI | 1255812103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC PSY200001230) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 06441) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-10-21 |