| NPI | 1710274717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 9721) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MA 9721) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-02-18 |