| NPI | 1891012555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003921) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2024-03-27 |