| NPI | 1811328800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT PSY-PSY-LIC 1304) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-03-25 |