NPI | 1972664126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 6350) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6350) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2024-06-07 |