| NPI | 1952149957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |