| NPI | 1588232441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11049) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY11049) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-09-04 |