| NPI | 1801443353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008435) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810008435) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2026-08-07 |