NPI | 1114334380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 9060) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TC0700X Psychologist Clinical (Licence: FL PY9060) | |
Enumeration Date | 2014-07-18 |
Last Update Date | 2024-07-22 |