NPI | 1629532353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH P.08545) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY10273) |
Enumeration Date | 2019-01-28 |
Last Update Date | 2023-10-02 |