NPI | 1144747791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9945) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY9945) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2023-09-18 |