| NPI | 1427591692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 004064) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WV 1132) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-05-22 |