NPI | 1386873271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: MD 04811) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TC0700X Psychologist, Clinical (Licence: MD 04811) | |
Enumeration Date | 2009-07-13 |
Last Update Date | 2020-12-18 |