NPI | 1639440415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8339) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY8339) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2024-07-23 |