NPI | 1952631897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 096569) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003072) |
Enumeration Date | 2009-12-27 |
Last Update Date | 2023-11-16 |