NPI | 1780072561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 7249) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KY 243398) |
Enumeration Date | 2015-01-02 |
Last Update Date | 2023-07-25 |