NPI | 1386047587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 10069750-2501) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA 26667) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2021-10-21 |