NPI | 1063663201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20042634A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008057) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2023-09-22 |