NPI | 1063901882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3482) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 31004) |
103TF0200X Psychologist, Forensic (Licence: OR 3482) | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2025-08-29 |