NPI | 1245240183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA Psy 9774) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy 9774) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2016-08-05 |