| NPI | 1750949053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2025009670) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2026-07-23 |