| NPI | 1699252957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PSY29883) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PSY29883) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-06-16 |