NPI | 1407478738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3240) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY31609) |
Enumeration Date | 2020-05-08 |
Last Update Date | 2021-07-06 |