| NPI | 1316796295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 288410) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 288410) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-07-24 |