NPI | 1285116384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018426) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301018426) |
103G00000X Clinical Neuropsychologist | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2022-06-30 |