| NPI | 1699449157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0006809) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0006809) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2025-08-07 |