NPI | 1003439308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301018916) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
Enumeration Date | 2020-05-20 |
Last Update Date | 2024-04-24 |