NPI | 1356875496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28365) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY28365) |
Enumeration Date | 2017-04-15 |
Last Update Date | 2024-07-23 |