| NPI | 1386030963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM PSY-2024-0071) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 26724) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2026-01-09 |