NPI | 1205290491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004294) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: GA PSY004294) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2024-02-19 |