| NPI | 1508020728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM PSY1598) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA Psy21997) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-03-09 |