NPI | 1295963288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY22738) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22738) |
103TH0004X Psychologist, Health (Licence: CA PSY22738) | |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY22738) | |
Enumeration Date | 2009-06-29 |
Last Update Date | 2014-10-23 |