NPI | 1043296890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN P3259) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS00712) |
103TC0700X Psychologist, Clinical (Licence: RI PS00712) | |
Enumeration Date | 2005-12-22 |
Last Update Date | 2022-03-16 |