NPI | 1801359872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301019400) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2025-09-22 |