NPI | 1497946305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY0533) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NV PY0533) |
103TC0700X Psychologist, Clinical (Licence: NV PY0533) | |
Enumeration Date | 2007-08-06 |
Last Update Date | 2008-01-28 |