NPI | 1376138495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY10781) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC0700X Psychologist, Clinical (Licence: FL PY10781) | |
Enumeration Date | 2021-03-02 |
Last Update Date | 2024-02-08 |