| NPI | 1912203076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004288) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA PSY10001317) |
| 103T00000X Psychologist (Licence: MA PSY10001317) | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2025-11-20 |