NPI | 1881326643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 4165) |
Additional Taxonomies | 103T00000X Psychologist |
103G00000X Clinical Neuropsychologist | |
Enumeration Date | 2022-06-29 |
Last Update Date | 2025-07-09 |