| NPI | 1962679282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23236) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VT 048.0135220) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2025-03-17 |