| NPI | 1831329077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 3257) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003257) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2023-11-07 |