NPI | 1285954198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7947) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 7947) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2013-05-08 |