| NPI | 1346876240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1929) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TN 3712) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-11-14 |