NPI | 1013765817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY34983) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY34983) |
103G00000X Clinical Neuropsychologist (Licence: CA PSY34983) | |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-11-15 |