| NPI | 1912533217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007045) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2025-08-12 |