NPI | 1578849287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 23742) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 23742) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2020-04-17 |