| NPI | 1952902579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KY 276735) |
| 103T00000X Psychologist | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-07-13 |