NPI | 1487081626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-004435) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 4435) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2024-04-02 |