NPI | 1235297425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4152) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4152) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2023-01-04 |