| NPI | 1750325296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 03991) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 6899) |
| 103TC0700X Psychologist, Clinical (Licence: MD 03991) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2025-05-08 |