| NPI | 1437578663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015396) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301015396) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-05-02 |