| NPI | 1982957486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8630) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8630) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2022-09-06 |