| NPI | 1275820821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP6447) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 09374) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-10-01 |