| NPI | 1730878844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DE B1-0011507) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011507) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2025-08-15 |