NPI | 1801363882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY10298) |
103TC2200X Psychologist Clinical Child & Adolescent | |
103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
Enumeration Date | 2018-10-29 |
Last Update Date | 2021-10-27 |