| NPI | 1487376067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL 11412) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL 11412) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-02-21 |