| NPI | 1376914697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY0891) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 27498) |
| 103T00000X Psychologist (Licence: TX 36803) | |
| 103T00000X Psychologist (Licence: NV PY0891) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA PSY27498) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2024-01-15 |