NPI | 1023410115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL 9147) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL 9147) |
Enumeration Date | 2014-09-19 |
Last Update Date | 2014-09-19 |