NPI | 1114051919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY18651) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18651) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2023-03-21 |