NPI | 1831173384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1066) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO 1066) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2020-09-22 |