NPI | 1861565210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 1514) |
Additional Taxonomies | 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 | 2022-07-21 |