| NPI | 1700559846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11105) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 11105) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2025-06-26 |