| NPI | 1316433261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-004996) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-004996) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2026-05-12 |