NPI | 1760727580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY61229698) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: UT 8399166-2501) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2023-12-28 |