| NPI | 1972861532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004446) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 4446) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-01-13 |