NPI | 1114207644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8359) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8359) |
Enumeration Date | 2011-08-29 |
Last Update Date | 2019-11-19 |