| NPI | 1295120491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 32335) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TN P0000003132) |
| 103TC0700X Psychologist, Clinical (Licence: CA 32335) | |
| 103TC0700X Psychologist, Clinical (Licence: TN P0000003132) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-03-12 |