NPI | 1972675510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 8432) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 8432) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2010-08-16 |