NPI | 1487722401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18403) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY18403) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2010-01-13 |