NPI | 1740376227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY5593) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY5593) |
103TC0700X Psychologist, Clinical (Licence: FL PY5593) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2018-09-13 |