| NPI | 1598439671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0006376) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-04-03 |