NPI | 1407304090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY30554) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY30554) |
Enumeration Date | 2016-09-13 |
Last Update Date | 2021-01-31 |