NPI | 1144380270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 000237MP) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: LA 237) |
103TC0700X Psychologist, Clinical (Licence: LA 237) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2024-08-29 |