| NPI | 1477103539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY10602) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10602) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2025-12-22 |