NPI | 1881084523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018174) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS018174) |
103G00000X Clinical Neuropsychologist (Licence: DE B1-0001051) | |
103TC0700X Psychologist, Clinical (Licence: DE B1-0001051) | |
Enumeration Date | 2015-02-03 |
Last Update Date | 2024-09-04 |