| NPI | 1396263919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4846) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4846) |
| 103T00000X Psychologist (Licence: AZ 4846) | |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2020-08-03 |