NPI | 1003140898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3841) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 3841) |
Enumeration Date | 2009-09-25 |
Last Update Date | 2011-09-16 |