NPI | 1407007859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7774) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7774) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2025-09-11 |