NPI | 1235154774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.6231) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 6231) |
103TC0700X Psychologist, Clinical (Licence: IL 071006949) | |
103TC0700X Psychologist, Clinical (Licence: OH 6231) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2021-10-12 |