| NPI | 1871020974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 003579) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003579) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-21 |