| NPI | 1487081626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ PSY-004435) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 4435) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2024-04-02 |