NPI | 1093268864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004357) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 7453) |
103G00000X Clinical Neuropsychologist (Licence: AL 2002) | |
Enumeration Date | 2016-07-28 |
Last Update Date | 2020-01-07 |