| NPI | 1790200715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC PSY1001556) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 06315) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2020-07-30 |