| NPI | 1487180394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P08429) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301016478) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-03-08 |