NPI | 1548516925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 4719) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4719) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2021-09-27 |