| NPI | 1568742435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY10889) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10889) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY10889) | |
| 103TF0200X Psychologist, Forensic (Licence: FL PY10889) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2024-12-02 |