| NPI | 1861565210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 1514) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 129832) |
| 103T00000X Psychologist (Licence: KY 1514) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0200X Psychologist, Forensic | |
| 103TH0004X Psychologist, Health | |
| 103TH0100X Psychologist, Health Service | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-12-03 |