NPI | 1134524093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY26484) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY26484) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2024-04-25 |