NPI | 1427780378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3786) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3786) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 3786) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 3786) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 3786) | |
103TC0700X Psychologist, Clinical (Licence: OR 3786) | |
103TC1900X Psychologist, Counseling (Licence: OR 3786) | |
Enumeration Date | 2022-06-29 |
Last Update Date | 2024-08-28 |