| NPI | 1285275271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11851) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11150) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY11851) | |
| 103G00000X Clinical Neuropsychologist (Licence: MA 11150) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-07-03 |