NPI | 1346718905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810008444) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 07026) |
Enumeration Date | 2018-11-12 |
Last Update Date | 2024-03-06 |