| NPI | 1831575083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810008952) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103G00000X Clinical Neuropsychologist (Licence: SC 1452) | |
| 103T00000X Psychologist (Licence: VA 0810008952) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2025-09-04 |