NPI | 1699830471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 1150) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 1150) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-08 |