| NPI | 1700032919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY1080) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103G00000X Clinical Neuropsychologist (Licence: CO PSY0005790) | |
| 103T00000X Psychologist (Licence: CO 0005790) | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY0005790) | |
| 103TC0700X Psychologist, Clinical (Licence: NV PY1080) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-11-16 |