| NPI | 1891465688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11381) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-09-23 |