NPI | 1568585222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7495) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY7495) |
103TC0700X Psychologist Clinical (Licence: FL PY7495) | |
103TC0700X Psychologist Clinical (Licence: NY 0133031) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2021-06-11 |