NPI | 1609960145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 02812) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810001953) |
103TC0700X Psychologist, Clinical (Licence: MD 02812) | |
103TC0700X Psychologist, Clinical (Licence: VA 0810001953) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 02812) | |
103T00000X Psychologist (Licence: MD 02812) | |
103T00000X Psychologist (Licence: VA 0810001953) | |
103TS0200X Psychologist, School (Licence: MD 02812) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |