NPI | 1932532553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4498) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 4489) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2013-08-19 |