| NPI | 1548618887 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY1264) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 5222) | 
| 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005222) | |
| Enumeration Date | 2016-05-26 | 
| Last Update Date | 2025-08-08 |