NPI | 1780751875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 2975) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CT 2975) |
103T00000X Psychologist (Licence: RI PS00844) | |
103G00000X Clinical Neuropsychologist (Licence: RI PS00844) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2010-05-09 |