| NPI | 1922536598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1418) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1418) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2020-10-28 |