| NPI | 1760727580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY61229698) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: UT 8399166-2501) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2023-12-28 |