NPI | 1043270200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 76-23P) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 76-23P) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-07-09 |