NPI | 1184087942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 9502) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 9502) |
103TC0700X Psychologist, Clinical (Licence: FL PY9502) | |
Enumeration Date | 2016-03-30 |
Last Update Date | 2023-08-14 |