| NPI | 1770094039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY9967) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY9967) |
| 103T00000X Psychologist (Licence: FL PY9967) | |
| 103TH0004X Psychologist, Health (Licence: FL PY9967) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY9967) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-11-15 |