| NPI | 1588137343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 4646) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 3083) |
| 103G00000X Clinical Neuropsychologist (Licence: MA 8739) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2023-11-08 |