| NPI | 1376192641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1574) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1574) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-01-05 |