| NPI | 1659519528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004085) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004085) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2024-04-17 |