NPI | 1972088755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH P.08860) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014188) |
Enumeration Date | 2018-09-27 |
Last Update Date | 2025-10-06 |