| NPI | 1336972702 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12341)  | 
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2024-08-21 | 
| Last Update Date | 2024-09-20 |