NPI | 1578864203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 22517) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSY 22517) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |