NPI | 1295828200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3749) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 3749) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2013-01-25 |