NPI | 1548984180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11914) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 11914) |
Enumeration Date | 2022-09-28 |
Last Update Date | 2022-10-20 |