| NPI | 1457935736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NH 1536) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY10869) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-08-31 |