NPI | 1275765521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY28077) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 6404) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2024-12-16 |