| NPI | 1669859807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810007495) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 05978) |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS017722) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2025-09-12 |