| NPI | 1790267482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KS 03234) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO 2023036589) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2023-09-27 |