| NPI | 1538786512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 5354-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5354-57) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2025-07-25 |