| NPI | 1316235161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO 2014031963) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015280) |
| 103T00000X Psychologist (Licence: MI 6301014842) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-03-14 |