| NPI | 1528555604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5456) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301016798) |
| 103G00000X Clinical Neuropsychologist (Licence: NC 5456) | |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2024-03-05 |