NPI | 1942558317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6929) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6929) |
103TR0400X Psychologist, Rehabilitation (Licence: OH 6929) | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2024-08-21 |