| NPI | 1508439233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11134) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11134) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY11134) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |