| NPI | 1497283584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004143) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810005577) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005577) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: VA 0810005577) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA PSY004143) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2022-10-05 |