| NPI | 1679996797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8965) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8965) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2017-02-17 |