NPI | 1275091456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY19737) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA PSY19737) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-03-07 |