| NPI | 1639352461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO 2013030220) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KS 2107) |
| Enumeration Date | 2007-12-15 |
| Last Update Date | 2025-12-18 |