| NPI | 1922344126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014729) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301014729) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2022-08-19 |