NPI | 1750905428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06039) |
103T00000X Psychologist (Licence: DC PSY1001555) | |
103T00000X Psychologist | |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |