NPI | 1144513821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004192) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004192) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2024-11-20 |