NPI | 1689144842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005776) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 38984) |
103G00000X Clinical Neuropsychologist (Licence: CO PSY.0005776) | |
103TC0700X Psychologist, Clinical (Licence: TX 38984) | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-11-30 |
Last Update Date | 2023-03-24 |