NPI | 1407928997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 000953) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AL 000953) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2007-07-08 |