NPI | 1336496512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 4100) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 4100) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: GA 4100) | |
Enumeration Date | 2012-08-07 |
Last Update Date | 2018-03-17 |