| NPI | 1912427071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11421) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 11421) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-08-02 |