| NPI | 1265882203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WY 599) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 599) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2025-11-07 |