| NPI | 1437992690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5235) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 5235) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-08-08 |