NPI | 1821288267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 37816) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OK 985) |
103TC0700X Psychologist, Clinical (Licence: TX 37816) | |
103TC0700X Psychologist, Clinical (Licence: OK 985) | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2024-10-14 |