| NPI | 1942653936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301019495) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NM PSY-2023-0096) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301019495) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-08-23 |