| NPI | 1710334099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OR 3051) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-10-27 |