| NPI | 1942992185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11880) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11880) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-08-02 |