| NPI | 1972989804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3287) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 3287) |
| 103G00000X Clinical Neuropsychologist (Licence: MN 6206) | |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY 9170) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-08-12 |