| NPI | 1730012782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5566-057) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 5566-057) |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-07-09 |