NPI | 1275897480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 26711) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY26711) |
103TF0000X Psychologist Family | |
Enumeration Date | 2012-07-02 |
Last Update Date | 2020-07-07 |