NPI | 1669628178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 6653) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6653) |
Enumeration Date | 2008-08-15 |
Last Update Date | 2008-08-15 |