| NPI | 1861223638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 07252) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 5769) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |