NPI | 1336176239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 16330) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 16330) |
103TC0700X Psychologist, Clinical (Licence: CA 16330) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2010-12-22 |