NPI | 1558027862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY14536) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY14536) |
Enumeration Date | 2021-11-10 |
Last Update Date | 2021-11-10 |