| NPI | 1992237176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 21123) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301017819) |
| 103T00000X Psychologist (Licence: MI 6301017819) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MI 6301017819) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-07-25 |