| NPI | 1396562070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6351004735) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301019759) |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2025-10-03 |