| NPI | 1629391131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 1584) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1584) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2020-07-28 |