| NPI | 1619586815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY10829) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003969) |
| 103T00000X Psychologist (Licence: CT 003969) | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2023-08-25 |