| NPI | 1851811749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 06351) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE B1-0001178) |
| 103G00000X Clinical Neuropsychologist (Licence: VA 0810006435) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-04-27 |