NPI | 1003944760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE b1-0000440) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE b1-0000440) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2017-03-08 |