NPI | 1508111501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0003732) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3732) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3732) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CO 3732) | |
103TS0200X Psychologist, School (Licence: CO 3732) | |
Enumeration Date | 2012-07-17 |
Last Update Date | 2021-09-10 |