NPI | 1255566832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY26355) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY26355) |
Enumeration Date | 2009-05-26 |
Last Update Date | 2015-09-23 |