| NPI | 1407537343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 173F00000X Sleep Specialist, PhD | |
| 235500000X Specialist/Technologist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |