NPI | 1992578439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |