NPI | 1417158288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VT 048-0134257) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 8520) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2024-09-19 |