| NPI | 1861181273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA PSY10000330) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005751) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-06-18 |