NPI | 1891344982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005181) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 005181) |
Enumeration Date | 2019-09-10 |
Last Update Date | 2025-08-01 |