NPI | 1023500113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 6325) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 3557-57) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-11-12 |