| NPI | 1528532884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2982) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OR 2982) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2020-10-14 |