| NPI | 1619594181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH P.08389) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301018942) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-02-27 |