| NPI | 1932619392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.08676) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6361002295) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2024-09-23 |