| NPI | 1578889929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005096) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103G00000X Clinical Neuropsychologist (Licence: WY 542) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2020-09-10 |