| NPI | 1992093447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO 2011006748) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MO 2011006748) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-10-26 |