NPI | 1023307089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21738) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY21738) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2025-03-18 |