| NPI | 1447988910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005556) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-T-000058) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-08-29 |