NPI | 1467023143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-005381) |
Enumeration Date | 2021-07-05 |
Last Update Date | 2021-12-21 |