NPI | 1598994840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004636) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004636) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2025-04-26 |