NPI | 1780018614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PSY.0004368) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2013-08-27 |
Last Update Date | 2021-09-10 |