| NPI | 1750784096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3215) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TN 3215) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2022-06-02 |