| NPI | 1356591366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY9629) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9629) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2023-02-09 |