NPI | 1972907046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0005388) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-10-17 |
Last Update Date | 2021-09-23 |