| NPI | 1720154479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 33157) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS016118) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2026-04-29 |