| NPI | 1295229037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 3576) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3576) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2021-11-18 |