NPI | 1114544293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31819) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 31819) |
Enumeration Date | 2020-07-06 |
Last Update Date | 2024-07-19 |