| NPI | 1710446380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other EEG |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2013031915) |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-06-11 |