NPI | 1255513123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22817) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY22817) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2015-07-08 |