| NPI | 1447998992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 000595019) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6351004333) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-02-27 |