| NPI | 1679134340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 31002) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-06-14 |