NPI | 1184834046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY13882) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY13882) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2021-10-04 |