NPI | 1043272800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 23081) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 30409) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2019-08-01 |