NPI | 1093957029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21357) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 21357) |
103TB0200X Psychologist, Cognitive & Behavioral | |
Enumeration Date | 2009-04-06 |
Last Update Date | 2009-08-25 |