| NPI | 1831558378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 2265) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 36080) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2023-01-25 |