NPI | 1922488121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY0753) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV PY0753) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2015-06-13 |