| NPI | 1427245992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 04464) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04464) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2023-05-16 |