NPI | 1114046299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY17061) |
Additional Taxonomies | 282E00000X Long Term Care Hospital (Licence: CA PSY17061) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |