NPI | 1528097383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS00520) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NH 836) |
103T00000X Psychologist (Licence: MA 6713) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2023-06-21 |