NPI | 1215049424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4827) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 4453) |
103G00000X Clinical Neuropsychologist (Licence: TX 34545) | |
103G00000X Clinical Neuropsychologist (Licence: NC 4827) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2016-02-09 |