| NPI | 1962921551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SD 564) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NE 934) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2021-03-17 |