NPI | 1346078540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 35678) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 07129) |
Enumeration Date | 2024-07-22 |
Last Update Date | 2025-02-11 |