NPI | 1477103539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY10602) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10602) |
Enumeration Date | 2019-09-19 |
Last Update Date | 2024-11-05 |