NPI | 1447746383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810005955) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TC0700X Psychologist, Clinical (Licence: VA 0810005955) | |
Enumeration Date | 2018-07-03 |
Last Update Date | 2021-07-12 |