NPI | 1811373525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004300) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1333) |
103G00000X Clinical Neuropsychologist (Licence: NM 1333) | |
Enumeration Date | 2015-08-04 |
Last Update Date | 2024-05-14 |