| NPI | 1689167694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3530) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 3530) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2020-07-28 |