NPI | 1679661243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 30760) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 30760) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |