| NPI | 1982117974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY11844) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2024-08-15 |