NPI | 1063890192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301018421) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE B10001020) |
103TC0700X Psychologist, Clinical (Licence: MI 6301018421) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10001020) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DE C100) | |
Enumeration Date | 2015-05-08 |
Last Update Date | 2023-01-20 |