NPI | 1992004584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20042615A) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042615A) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2015-09-11 |