NPI | 1164871919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3335) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3335) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-11 |
Last Update Date | 2021-09-09 |