| NPI | 1891054441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 35565-57) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 15672) |
| 103T00000X Psychologist (Licence: CA 15672) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2020-11-18 |