NPI | 1285750034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000877) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE B1-0000877) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2012-02-27 |