NPI | 1538320148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY0622) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV PY0622) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NV PY0622) | |
Enumeration Date | 2008-06-17 |
Last Update Date | 2011-05-20 |