| NPI | 1508810318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301011602) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301011602) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-02-28 |