| NPI | 1750762720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WV 1122) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 7189) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-11-17 |