| NPI | 1932813375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH P.08875) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 39719) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2026-03-02 |