| NPI | 1689303422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 1594) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NH 1594) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2023-01-31 |