NPI | 1326451212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VT 048.0134255) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ME 1428) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2025-03-18 |