NPI | 1922218007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0003438) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3438) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2021-09-10 |