NPI | 1235668781 |
---|---|
Former Name | OLIVIA BJORKQUIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY33869) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071009533) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-12-13 |