NPI | 1982333217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 39436) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39436) |
Enumeration Date | 2022-06-10 |
Last Update Date | 2024-01-19 |