NPI | 1275940504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 5117-057) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-07-18 |
Last Update Date | 2024-02-22 |