| NPI | 1417914318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP3529) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN LP3529) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-05-28 |