| NPI | 1841370657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY6303) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ME PS2547) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-12-02 |