NPI | 1376868307 |
---|---|
Former Name | ALYCIA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23372) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23372) |
103T00000X Psychologist (Licence: CA PSY23372) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY23372) | |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY23372) | |
Enumeration Date | 2010-04-01 |
Last Update Date | 2020-01-27 |