NPI | 1942991559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH P.08619) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08619) |
Enumeration Date | 2023-05-16 |
Last Update Date | 2024-05-02 |