| NPI | 1902403462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004415) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY004415) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-06-10 |