NPI | 1487933586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 3626) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 9379) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2018-08-29 |