| NPI | 1962831800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 05245) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2018-10-03 |