| NPI | 1275903221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical (Licence: CO 5626) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2024-02-13 |