NPI | 1427451020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27193) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY27193) |
103TH0100X Psychologist, Health Service (Licence: CA PSY27193) | |
Enumeration Date | 2014-09-27 |
Last Update Date | 2021-08-01 |