| NPI | 1386239747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 36294) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 024026) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2026-02-23 |