| NPI | 1528781143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007801) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810007801) |
| 103TH0004X Psychologist, Health (Licence: VA 0810007801) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2024-03-28 |