NPI | 1598070773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23616) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY23616) |
103TH0004X Psychologist, Health (Licence: CA PSY23616) | |
Enumeration Date | 2010-08-12 |
Last Update Date | 2010-08-12 |