NPI | 1174843767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 23018) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 23018) |
Enumeration Date | 2010-06-04 |
Last Update Date | 2016-05-01 |