| NPI | 1477941003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY0005854) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY0005854) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2021-07-31 |