| NPI | 1710259098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2534) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 3166) |
| 103G00000X Clinical Neuropsychologist (Licence: KS 2534) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2023-01-26 |