NPI | 1811189095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2788) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TN 2788) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2016-03-11 |