NPI | 1497456107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
103T00000X Psychologist (Licence: TX 39747) | |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-03-13 |