| NPI | 1336690502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004617) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004617) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60809636) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2024-04-11 |