NPI | 1396058780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12772) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY12772) |
103T00000X Psychologist (Licence: CA PSY12772) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY12772) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY12772) | |
Enumeration Date | 2010-07-14 |
Last Update Date | 2010-07-14 |