NPI | 1609613082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34686) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TH0100X Psychologist, Health Service | |
Enumeration Date | 2024-07-11 |
Last Update Date | 2025-01-23 |