| 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 |