| NPI | 1629525654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 3562) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301017219) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-04-01 |