| NPI | 1396321626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11030) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY11030) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY11030) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY11030) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL PY11030) | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: FL PY11030) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2022-07-07 |