NPI | 1922536598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1418) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1418) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2020-10-28 |