NPI | 1851412209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 8686) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8686) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2023-08-15 |