NPI | 1851121636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC PSY200001594) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810008366) |
Enumeration Date | 2024-08-06 |
Last Update Date | 2024-10-31 |