NPI | 1497035612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 63) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 4159) |
Enumeration Date | 2011-08-18 |
Last Update Date | 2018-03-26 |