NPI | 1720089295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 2856) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2856) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2019-11-21 |