| NPI | 1578292124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 6185) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6185) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-07-15 |