NPI | 1609960285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3170) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 3170) |
103T00000X Psychologist (Licence: NC 3170) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2015-07-13 |