| NPI | 1548618887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005222) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 5222) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-10-16 |