NPI | 1952653701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY0464) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0464) |
Enumeration Date | 2012-10-03 |
Last Update Date | 2012-10-03 |