| NPI | 1750905428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06039) |
| 103T00000X Psychologist (Licence: DC PSY1001555) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |