NPI | 1184611576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY14060) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY14060) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2023-09-06 |