NPI | 1104400225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0005528) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0005528) |
103TC0700X Psychologist, Clinical (Licence: CO PSY.0005528) | |
Enumeration Date | 2021-05-06 |
Last Update Date | 2021-09-10 |