| NPI | 1811440639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 3291) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004031) |
| 103T00000X Psychologist (Licence: TN 3291) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-06-07 |