| NPI | 1972047504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 000.00000) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2019-12-18 |