NPI | 1932146172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 2620-057) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 31547) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2015-01-20 |