NPI | 1851733208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36658) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY25779) |
Enumeration Date | 2013-07-26 |
Last Update Date | 2020-11-05 |