NPI | 1114908589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY13699) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY13699) |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY13699) | |
Enumeration Date | 2005-11-10 |
Last Update Date | 2007-07-08 |