NPI | 1053336016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 7996) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7996) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-08 |