| NPI | 1437605995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7439) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY12649) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2026-08-19 |