NPI | 1447489372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS018538) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301013769) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2021-05-04 |