| NPI | 1275396905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 007347) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PR 007347) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |