| NPI | 1710231444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PR 2114) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2114) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2024-11-08 |