| NPI | 1952727430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MS 621130) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 8944) |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2025-08-19 |