NPI | 1285646059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 369) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 1148) |
103G00000X Clinical Neuropsychologist (Licence: SD 369) | |
103G00000X Clinical Neuropsychologist (Licence: CO 1148) | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2008-04-01 |