NPI | 1568479962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4669) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4669) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2016-02-10 |