| NPI | 1700921038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DE Bl-0000656) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE Bl-0000656) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-09-11 |