| NPI | 1760115638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY12435) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY12435) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2026-05-12 |