| NPI | 1831755966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301017872) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TR0400X Psychologist Rehabilitation | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |