| NPI | 1649986175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11999) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11999) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2026-03-16 |