| NPI | 1801359872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301019400) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-09-22 |