| NPI | 1538830963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 3984) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 3984) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-10-09 |