NPI | 1821245713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NH 1167) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VT 048-0000922) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2008-08-21 |