| NPI | 1467790881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005002) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: MO 2016032456) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2018-08-28 |