NPI | 1831755966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301017872) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-05-14 |